scholarly journals Ambulatory Surgery for Perianal Disease

2021 ◽  
Author(s):  
Andrea Divizia ◽  
Giuseppe S. Sica
Keyword(s):  
Gold Standard ◽  
Pain Control ◽  
Rubber Band Ligation ◽  
Rubber Band ◽  
Outpatient Setting ◽  
Haemorrhoidal Disease ◽  
Oral Pain ◽  
Case Surgery ◽  
Infrared Coagulation ◽  
Anal Warts

The gold standard in the diagnosis and treatment of proctological diseases is the exploration of the anal canal and distal rectum under anaesthesia (EUA), routinely performed as day case surgery. In selected cases it can be conducted as an outpatient exploration (OE) during a specialist surgical consultation. In the outpatient setting it is possible and safe to perform rubber band ligation, sclerotherapy and infrared coagulation for the treatment of haemorrhoidal disease, excision and incision of thrombosed external haemorrhoids, abscess drainage, setonage and fistulotomy also in case of perianal Crohn’s disease, anal warts and skin tags removal. In terms of patients’ satisfaction and success rate OE is comparable to EUA. All procedures can be performed under local anaesthesia. Pain control after the procedure is provided by oral pain killers.

Treatment of Symptomatic Hemorrhoids by Baron’s Band Ligation

2021 ◽  
Vol 15 (11) ◽  
pp. 3355-3356
Author(s):  
Fazal-e- Nauman ◽  
Sirajud din ◽  
Shandana Gul ◽  
Mahwash Anjum Shafiq
Keyword(s):  
Rubber Band Ligation ◽  
Symptomatic Treatment ◽  
Rubber Band ◽  
Outpatient Setting ◽  
Simple Method ◽  
Duration Of Symptoms ◽  
Band Ligation ◽  
Medical College ◽  
Normal Functional ◽  
One Year

Haemorrhoids are a clinical symptom of a change in the normal functional architecture of the inflamed and swollen veins known as the anal cushion. Numerous treatment opportunities are available for this communal issue, but Baron's Gum Ligation (RBL) is the utmost frequently used technique for second- and third-degree haemorrhoids because it treats hemorrhoidal disease without anaesthesia, hospitalization, minimal complications, and ooutpatient discharge is uneventful compared to conventional surgery. Purpose: We conducted this study to evaluate the effectiveness of rubber band ligation in the treatment of second- and third-degree haemorrhoids. Methodology: This prospective study was performed on 76 patients over a six-month period at the Department of General Surgery from January 2021 to June 2021 at Islam Medical College and Teaching Hospital Sialkot. Rubber rubber ligation was used in all patients. A maximum of two haemorrhoids in one session were banded, and third as needed in a check-up done two weeks later. At the end of the fourth week, post-banding assessments were made for the presence and absence of bleeding, pain, and haemorrhoidal prolapse. Results: Of the 76 patients, 60 (78.9%) were male and 16 (21.1%) were female. The M:F ratio was 5.0: 1.0. 37.85 years was the mean age of patients (range 15 to 68). The duration of symptoms in approximately 48 patients (63.2%) was less than one year old, and in 18 (23.7%) patients ranged from 1 to 3 years and 10 (13.2%) patients had symptoms for more than 4 years. Complications occurred in 23 patients, bleeding in three patients, pain in 18 patients, 2 patients have prolapsed. Conclusion: RBL is effective, safe and simple method of symptomatic treatment for 2nd and 3rd degree haemorrhoids in an outpatient setting.

scholarly journals Comparison of infrared coagulation and rubber band ligation for first and second degree haemorrhoids: a randomised prospective clinical trial.

BMJ ◽  
1983 ◽  
Vol 286 (6375) ◽  
pp. 1387-1389 ◽  
Author(s):  
J L Templeton ◽  
R A Spence ◽  
T L Kennedy ◽  
T G Parks ◽  
G Mackenzie ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Rubber Band Ligation ◽  
Rubber Band ◽  
Prospective Clinical Trial ◽  
Band Ligation ◽  
Infrared Coagulation ◽  
Second Degree

Hemorrhoids

2018 ◽  
Author(s):  
Anthony J. Senagore ◽  
Yesenia Rojas-Khalil
Keyword(s):  
Rubber Band Ligation ◽  
Rubber Band ◽  
Stapled Hemorrhoidopexy ◽  
Injection Sclerotherapy ◽  
Artery Ligation ◽  
Band Ligation ◽  
Energy Devices ◽  
Hemorrhoidal Artery Ligation ◽  
Hemorrhoidal Artery ◽  
Infrared Coagulation

The management of symptomatic hemorrhoidal disease is based on the severity of symptoms and preexisting medical conditions that may preclude one treatment option over another. The majority of patients can be managed in the office setting with nonexcisional methods including injection sclerotherapy, rubber band ligation, and infrared coagulation. The small percentage of patients that fail this management warrant evaluation for surgical excisional hemorrhoidectomy. In recent years, newer techniques such as advanced energy devices for excision, circular stapled hemorrhoidopexy, and Doppler-guided hemorrhoidal artery ligation have been introduced. The purported advantage of these device-driven surgical options is similar efficacy with less pain. Unfortunately, although there are proponents for each approach, the device costs remain problematic, and the outcome improvement has been limited, especially in terms of long-term efficacy. Surgeons are urged to learn the standard techniques so that they can assess the newer options for themselves. This review contains 9 figures, 4 tables, and 71 references. Key Words: bipolar diathermy, direct current electrocautery, Doppler-guided hemorrhoidal artery ligation, excisional hemorrhoidectomy, harmonic, infrared coagulation, LigaSure, rubber band ligation, stapled hemorrhoidopexy

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